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Ohio rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.08 / $1,997.69 / $2,864.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.08 / $850.08 / $903.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.51 / $1,268.21 / $2,303.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.42 / $481.44 / $1,080.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.47 / $161.47 / $221.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $161.47 / $161.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $1,062.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $1,062.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $1,231.82